INVESTIGATION OF CLAIM FOR POSSIBLE DAYS OF EMPLOYMENT OR STATE BENEFITS RECEIVED

ICR 199405-3220-003

OMB: 3220-0049

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3220-0049 199405-3220-003
Historical Active 199405-3220-002
RRB
INVESTIGATION OF CLAIM FOR POSSIBLE DAYS OF EMPLOYMENT OR STATE BENEFITS RECEIVED
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/04/1994
Approved with change 05/04/1994
Retrieve Notice of Action (NOA) 05/04/1994
  Inventory as of this Action Requested Previously Approved
07/31/1994 07/31/1994 06/30/1994
11,300 0 11,300
2,047 0 2,047
0 0 0

UNDER THE RUIA, UNEMPLOYMENT OR SICKNESS BENEFITS ARE NOT PAYABLE FOR ANY DAY IN WHICH REMUNERATION IS PAYABLE OR ACCRUES TO THE CLAIMANT. THE COLLECTION OBTAINS INFORMATION FROM THE CLAIMANT, CLAIMS AGENT, RAILROAD AND NON-RAILROAD EMPLOYERS, AND STATE AGENCIES ABOUT WORK PERFORMED AND/OR BENEFITS RECEIVED DURING THE SAME PERIOD AS

None
None


No

1
IC Title Form No. Form Name
INVESTIGATION OF CLAIM FOR POSSIBLE DAYS OF EMPLOYMENT OR STATE BENEFITS RECEIVED ID-51, ID-5R(SUP), ID-49R, ID-49S, UI-48

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 11,300 11,300 0 0 0 0
Annual Time Burden (Hours) 2,047 2,047 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/04/1994


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